P-291: Is there a correlation between specific difficulties in type 1 diabetes (T1DM) care in children and time in range (TIR) in a diabetic clinic in Cameroon?
M Edongue Hika1, R Mbono Betoko, T Sandjouo Kouamou, A Amar Arafat, E E Ngabu Nguetnkam, A P Mendomo, S A Sap Ngo UmAbstract
Introduction
Despite a better method of Glucose Monitoring and accentuated Therapeutic Counseling, Glycemic control remains poor in our context. We conducted an educational diagnosis by asking parents what aspect was more difficult for them.
Objectives
The objective of our study was to evaluate Glycemic Control (GC) according the three aspects of T1DM treatment in Children
Methods
We conducted an analytic study with children aged 4–18 years and their families followed up at the mother and Child Center of the Chantal Biya Foundation. We passed a sondage about which aspect of Diabetes Care was more difficult for them: Nutritional aspect, Insulin therapy, Physical activity practice or Others. The sondage has been done in WatsApp Group where all parents are, so that they can all participate despite geographic distance. The children used Flash Monitoring for 14 days and we analyzed their glycemic control according to the difficulties domain of the parents. Good control was a TIR ≥70%.
Results
We had 30 children who wore sensors for 14 days and 39 parents who responded to the survey. Among the children, the average age was 12,61 ±3,8 years. With a male predominance at 57%. The duration of diabetes was 2,5 ± 2 years. The body mass index was 20 ± 5,1Kg/m2 with a total dose/weight ratio around 1,03 ± 0,3 IU/kg/day. At diagnosis, the glycated hemoglobin was on average 12,61 ± 2,3 % and at the last check, 10,7 ± 2,3 %, for a glycemic management index of 8,3 ± 1,4 %. According to ISPAD recommendations, no child had good glycemic control (TIR >70%). Only 03 (9%) of them had a TIR ≥ 50%. A higher proportion of patients with a TIR < 50 is observed among those who have nutrition as an obstacle to glycemic control.
Conclusions
Glycemic balance in our study population was null according to the ISPAD definition. However, one in two parents have nutritional problems in managing their child living with diabetes. The results suggest an association between nutritional problem and glycemic control.